2026 Wertheimer Youth in Action Recipient Information - The Community Foundation of Frederick County

Wertheimer Youth in Action Recipient Information FY26

Name(Required)

First Last

Current School and Grade Level(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone number(Required)

Email address(Required)

Parent/Guardian Name

First Last

Parent/Guardian Address

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Phone number

Parent/Guardian Email address

Please list school related clubs and organizations that you are a member of and how long you have been a member. Please include community service you have done through those clubs and/or organizations.(Required)

Please list non-school related clubs and organizations that you are a member of and how long you have been a member (for example, faith based service, scouts, etc.). Please include community service you have done through those clubs and/or organizations.(Required)

What do you consider some of your most notable achievements in the community service projects/initiatives you have worked on?(Required)

Why does giving back to your community matter to you?(Required)

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